摘要
目的分析研究玻璃体切割手术治疗老年性黄斑变性伴玻璃体积血的疗效。方法对43例老年性黄斑病变伴玻璃体积血患者，均行闭合式玻璃体切割术，观察比较手术前与手术后1 w及2个月的视力和眼底情况，并随访3~12个月。结果术后视力均不同程度提高，和术前相比具有显著差异（P〈0.01）；术后1 w，34例视力提高，9例视力不变；术后2个月，38例视力提高，5例视力不变；所有随访患者未发现玻璃体再出血。结论玻璃体手术可使老年性黄斑变性玻璃体积血获得很好的效果，掌握恰当的手术时机对预后至关重要。
Objective To evaluate the therapeutic effect of vitrectomy on vitreous hemorrhage associated with age-related macular degeneration （AMD）. Methods Vitrectomy was performed in 43 cases of vitreous hemorrhage in AMD, visual acuity and fundus were observed before the operation and 1 week ,2 months after surgery, and followed up for 3 - 12 months. Results After operation, visual acuity was improved significantly compared to that before operation （P 〈 0. 01 ）. At 1 week after operation, visual acuity of 34 eyes was improved, that of 9 eyes was same; and at 2 months after operation,visual acuity of 38 eyes was improved,that of 5 eyes was same. No recurrence of hemorrhage was found. Conclusions Vitrectomy is valid treatment for vitreous hemorrhage in AMD, it is important for prognosis to choose the correct opportunity.
出处
《中国老年学杂志》
CAS
CSCD
北大核心
2008年第18期1815-1816,共2页
Chinese Journal of Gerontology
基金
吉林省科技发展计划资助项目(项目编号200705232)
